Active NPI
Mary Wooten
- Counselor
- Fitchburg, MA
National Provider Identifier
1740643345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 143 Highland Ave Apt 1
Fitchburg, MA 01420 - Phone
- (207) 577-4850
- NPI assigned
- Mar 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
143 Highland Ave Apt 1
Fitchburg, MA 01420
Mailing address
143 Highland Ave Apt 1
Fitchburg, MA 01420-3409
Phone (207) 577-4850
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B01010787 00 | Other | MA | BOSTON MEDICAL CENTER HEALTHNET PLAN |
| 100214979047 | Other | MA | MASSHEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1740643345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 HIGHLAND AVE APT 1",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014203409",
"telephone_number": "207-577-4850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 HIGHLAND AVE APT 1",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "01420",
"telephone_number": "207-577-4850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOTEN",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-31",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MEDICAL CENTER HEALTHNET PLAN",
"identifier": "B01010787 00",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH",
"identifier": "100214979047",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.